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Catastrophic healthcare expenditure – Drivers and protection: The Portuguese case

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  • Kronenberg, Christoph
  • Barros, Pedro Pita

Abstract

The objective of this paper is to assess the extent of catastrophic healthcare expenditure, which can lead to impoverishment, even in a country with a National Health Service, such as Portugal. The level of catastrophic healthcare expenditure will be identified before the determinants of these catastrophic payments are analyzed. Afterwards, the effects of existing exemptions to copayments in health care use will be tested and the relationship between catastrophe and impoverishment will be discussed. Catastrophe is calculated from the Portuguese Household Budget Surveys of 2000 and 2005, and then analyzed using logistic regression models.

Suggested Citation

  • Kronenberg, Christoph & Barros, Pedro Pita, 2014. "Catastrophic healthcare expenditure – Drivers and protection: The Portuguese case," Health Policy, Elsevier, vol. 115(1), pages 44-51.
  • Handle: RePEc:eee:hepoli:v:115:y:2014:i:1:p:44-51
    DOI: 10.1016/j.healthpol.2013.10.001
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    References listed on IDEAS

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    5. Barros, Pedro Pita, 2012. "Health policy reform in tough times: The case of Portugal," Health Policy, Elsevier, vol. 106(1), pages 17-22.
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    7. Adam Wagstaff & Eddy van Doorslaer, 2003. "Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 921-933.
    8. Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, vol. 18(3), pages 263-290, June.
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    Cited by:

    1. repec:eee:hepoli:v:121:y:2017:i:10:p:1063-1071 is not listed on IDEAS
    2. Baird, Katherine Elizabeth, 2016. "The incidence of high medical expenses by health status in seven developed countries," Health Policy, Elsevier, vol. 120(1), pages 26-34.
    3. Russo, Giuliano & Rego, Inês & Perelman, Julian & Barros, Pedro Pita, 2016. "A tale of loss of privilege, resilience and change: the impact of the economic crisis on physicians and medical services in Portugal," Health Policy, Elsevier, vol. 120(9), pages 1079-1086.
    4. repec:kap:ijhcfe:v:17:y:2017:i:3:d:10.1007_s10754-016-9203-7 is not listed on IDEAS
    5. repec:eee:hepoli:v:121:y:2017:i:5:p:481-494 is not listed on IDEAS
    6. Ebaidalla Mahjoub Ebaidalla & Mohammed Elhaj Mustafa Ali, 2017. "Determinants and Impact of Households’s Out-of-Pocket Health Care Expenditure in Sudan: Evidence From Urban and Rural Population," Working Papers 1170, Economic Research Forum, revised 12 2017.
    7. Katherine Baird, 2016. "The Incidence of High Medical Expenses by Health Status in Seven Developed Countries," LIS Working papers 670, LIS Cross-National Data Center in Luxembourg.
    8. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.

    More about this item

    Keywords

    Catastrophic health expenditure; Portuguese health system; Healthcare financing; Out of pocket payments; Poverty;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty

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